RESUMO
To contribute to studies in Psychology through a systematic and methodological analysis of the comparison between a tree and the cognitive model of the cognitive behavioral theory, establishing similarities and differences between the comparative domains. Method It is a qualitative, exploratory, documentary research, based on the Conceptual Metaphor, the Cognitive-Behavioral Theory, and on the Methodology of Teaching with Analogies. It starts from the hypothesis of the existence of a conceptual metaphor in which "the cognitive model is structured like a tree", transposing characteristics between both. It verifies, classifies, analyzes the comparison by means of analogical reasoning and the filling of comparative charts between vehicle and target. Results The results point to the complexity and potential of comparison if treated systematically and methodologically. Conclusion The research results corroborate the hypothesis that originated it.
Este artigo buscou analisar as percepções de pais e professores a respeito da trajetória escolar de crianças adotadas. Para isto, entrevistamos professores do Ensino Fundamental (3º ao 7º ano) e pais adotivos, investigando como compreendem a existência de possíveis sucessos e dificuldades escolares nas crianças adotadas, e se há relação entre adoção e atuação escolar. Método A pesquisa é qualitativa, exploratória, documental, fundamentada na Metáfora Conceptual, na Teoria Cognitivo-Comportamental e na Metodologia de Ensino com Analogias e parte da hipótese da existência de uma metáfora conceptual em que "o modelo cognitivo se estrutura como uma árvore", transpondo características entre ambos. Verifica-se, classifica-se e analisa-se a comparação por meio de raciocínio analógico e do preenchimento de quadros comparativos entre veículo e alvo. Resultados Os resultados apontam a complexidade e o potencial da comparação, caso seja tratada sistemática e metodologicamente. Conclusão A hipótese de pesquisa é corroborada.
Assuntos
Terapia Cognitivo-Comportamental , Metáfora , Criança Adotada , Psicologia CognitivaRESUMO
ABSTRACT Background: There has been a revolution in the treatment of Chronic Myeloid Leukemia since imatinib's introduction. However, patient adherence has a great impact on the response obtained with medical treatment. This study's objective was to analyze the drug adherence and the factors that influenced it in patients with Chronic Myeloid Leukemia in a referral hospital in the Brazilian Amazon. Method: This was a retrospective study including 120 patients with Chronic Myeloid Leukemia from January 2002 to December 2014. The adherence was estimated by the Proportion of Days Covered and the persistence by Kaplan-Meier analysis. The data was analyzed in Epi Info 7® software and the relationship between the variables was analyzed by Fisher's exact test. A p-value lower than 0.05 was considered significant. Results: Twenty-seven patients (22.5%) were considered non-adherent. There has been irregular medication use and disinterest in the treatment in 20.83% (n = 25), of which 13 were considered non-adherent (p < 0.001). A total of 26.67% (n = 32) abandoned the treatment for a period. Of those, 56.25% (n = 18) were non-adherent (p < 0.001). Distance to the hospital, lack of medication and side-effects were all non-significant to low adherence. At the end of a 360-day follow-up, 44.16% (n = 53) of patients presented a break in persistence, whose average was 255 days. Conclusion: The adherence found in this study was similar to that found in others of its kind. The only factors that negatively influenced the adherence were disinterest and abandonment of treatment, which can reflect the need to individually educate Chronic Myeloid Leukemia patients.
Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Lactente , Pré-Escolar , Criança , Adolescente , Leucemia Mielogênica Crônica BCR-ABL Positiva , Ecossistema Amazônico , Mesilato de ImatinibRESUMO
Analyzes of samples of stem and fiber Boehmeria nivea var. Murakami were performed to increase information on the plant and disseminate its multiple possibilities of use. The histochemical analyzes with dyes and reagents showed the presence of lignified, suberous and cutinized cell walls with Safranin in the xylem region. The presence of pectin-cellulose with Astra Blue was confirmed in the regions of fiber bundles (cortex). In all regions of the stem were identified substances such as fat and mucilage with Methylene Blue evidencing high concentrations in the regions of fiber bundles and bark (violet blue). By means of Lugol (dark brown) starches were identified in several parts of the stem with concentrations in the xylem and epidermal regions. Through analyzes by EDS it was possible to identify F, Mg, Al, Si, K and Ca with predominance of K. In the chemical analyzes of the fibers were found 71.75 of cellulose, 12.11 of hemicelluloses, 1.06 of lignin and 1.70% of ashes. The percentages of extractives soluble in hot and cold water were 5.28 and 3.12% respectively, for Ethanol-Toluene was 8.55 and NaOH (1%) 27.27%. Histochemical analyzes revealed important characteristics of the fiber and stem contributing with better knowledge of the species.
Análises de amostras de caule e de fibras Boehmeria nivea var. Murakami foram realizadas para aumentar o conhecimento da planta e difundir suas múltiplas possibilidades de uso. As análises histoquímicas com corantes e reagentes mostraram paredes celulares lignificadas, suberosas e cutinizadas com Safranina na região do xilema. Confirmou-se a presença de pectocelulose com Azul de Astra nas regiões de feixes de fibras (córtex). Em todas as regiões do caule, foram identificadas substâncias como gordura e mucilagem com Azul de Metileno, evidenciando elevadas concentrações nas regiões dos feixes de fibras e da casca (azul violeta). Por meio de Lugol (marrom escuro), foram identificados amidos em várias partes do caule com concentrações nas regiões do xilema e da epiderme. Por meio de análises de EDS, foram identificados F, Mg, Al, Si, K e Ca, com predominância do K. Nas análises químicas das fibras, foram encontrados 71,09 de celulose, 12,11 de hemiceluloses, 1,06 de lignina e 1,70% de cinzas. As porcentagens de extrativos solúveis em água quente e fria foram de 5,28 e 3,12%, respectivamente. Para o Etanol-Tolueno, foi 8,55 e para o NaOH (1%), 27,27%. As análises histoquímicas revelaram importantes características das fibras e do caule, contribuindo com melhores conhecimentos da espécie
RESUMO
Determinar la capacidad de la quimioterapia neoadyuvante para lograr citorreducción óptima en cáncer epitelial de ovario avanzado y relacionarla con la sobrevida global y libre de enfermedad. 22 pacientes con cáncer epitelial avanzado de ovario fueron elegidas en base a los criterios de Vergote: enfermedad voluminosa, implantes multiples, enfermedad metastásica parenquimatosa; se administró 3 ó 4 ciclos de quimioterapia con carboplatino-taxanos, y posterior cirugía. Todas las pacientes fueron catalogadas como estadio III-C o IV según la clasificación de la FIGO. El tipo histológico predominante fue el adenocarcinoma sin especificación con el 45,5 por ciento. El 63,6 por ciento eran tumores poco diferenciados. Todas las pacientes respondieron a la quimioterapia neoadyuvante, incluso en 5 pacientes se reportó respuesta patológica total. Se logró cirugía citoreductora óptima en 81,8 por ciento de los pacientes. Para un seguimiento promedio de 18 meses: 20 pacientes están vivas (90,9 por ciento), 14 libres de enfermedad. En 4 se produjo recidiva, 4 presentaron persistencia y fallecieron 2 de ellas. La morbilidad perioperatoria fue mínima. La sobrevida libre de enfermedad registró una media de 11,45 meses. El unico factor relacionado con sobrevida libre de enfermedad fue la capacidad de realizar cirugía óptima (P=0,006). L cirugía citorreductora primaria sigue siendo la primera opción en cáncer de ovario epitelial avanzado, la quimioterapia neoadyuvante seguida de cirugía de intervalo es una opción válida en un subgrupo de pacientes con factores de riesgo adversos